What happens when your hospital is also your insurance company? We're starting to see the effects
Historically, hospitals have provided care for people, while separate insurers have paid for that care.
Aug 18, 2026
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Health Care Economics and Organizations: News and Research on Medicare Part C
MeSH tree: N03.706.615.420.249
UnitedHealth, Humana and CVS denied post-hospital care at some of the highest rates
The three largest Medicare Advantage insurers turned down requests for post-hospital care at some of the highest rates among major plans, a federal watchdog has found.
Jun 24, 2026
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Opinion: Increased oversight of private equity in health care is needed to protect patients and the physician workforce
Private equity investment in health care requires increased regulatory oversight and policies to better protect patients and physicians from the adverse impact of growing corporate interests, says the American College of ...
May 26, 2026
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Medicare Advantage broker payments potentially hit $10 billion annually, study finds
New research offers one of the clearest pictures yet on just how large the Medicare Advantage insurance broker market has become. Published as a research letter in JAMA Internal Medicine, the study by health policy scholars ...
May 18, 2026
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Minor federal fines offer little deterrence to insurers for Medicare Advantage violations, study finds
A new study from health policy researchers at the Brown University School of Public Health suggests that while regulators have several tools at their disposal to penalize insurance plans that break the rules, they rely mostly ...
May 5, 2026
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Analysis: In US health insurance market, consolidation of insurers is increasing premiums
The U.S. health insurance industry relies heavily on private markets, but these markets are highly concentrated and are growing more so over time. In a new analysis, researchers document concentration across commercial, Medicare ...
Mar 18, 2026
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Sick of fighting insurers, hospitals offer their own Medicare Advantage plans
Ever since Larry Wilkewitz retired more than 20 years ago from a wood products company, he's had a commercial Medicare Advantage plan from the insurer Humana. But two years ago, he heard about Peak Health, a new Advantage ...
Jan 29, 2026
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Medicare Advantage insurers face new curbs on overcharges in Trump plan that reins in payments
Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes.
Jan 29, 2026
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Omitting Medicare data skews hospital readmission penalties, study shows
For more than a decade, hospitals have worked to help older adults avoid repeated inpatient stays, incentivized by a federal program that cuts Medicare reimbursements if hospitals have higher-than-expected rates of readmissions ...
Jan 22, 2026
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AI-driven insurance decisions raise concerns about human oversight
As health insurers increasingly turn to AI, researchers explore the promise of efficiency—and the risk of amplifying existing flaws.
Jan 12, 2026
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